HomeMy WebLinkAbout05-12-06
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT 280601
HARRISBURG, PA 17128-0601
REV -1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
.................................................... ..................
OFFICIAL USE ONLY
.......................................................................
FILE NUMBER
21
COUNTY CODE
0828
NUMBER
I-
Z
LU
o
W
U
LU
o
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
Emert, Nellie E
DATE OF DEATH DATE OF BIRTH
August 21,2005 October 16,1913
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
None
SOCIAL SECURITY NUMBER
165-38-1397
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
X 1 Original Return
2 Supplemental Return
3. Remainder Return (dale of death prior 10 12.
13.82)
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4. limited Estate
4a. Future Interest Comprise (date of death aner 12.12-82)
5. Federal Estate Tax Relurn ReqUIred
9. Litigation Proceeds Received
10. Spousal Poverty Credit (dale 0' death belween 12-31-91 and 1-1.95)
8. Total Number of Safe Deposit Boxes
011. Election to tax under Sec 9113(A)
(AttaCh Sch 0)
X 6. Decedent Died Testate (See Attachmenl A).)
7. Decedent Maintained a liVing Trust (Allach a copy of Trust)
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THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
NAME COMPLETE MAILING ADDRESS
S. BERNE SMITH, ESQ. 107 N, 24TH STREET
FIRM NAME (If Applicable) CAMP HILL, PA 17011-3602
TELEPHONE NUMBER
717-737-6789
1. Real Estate (Schedule A)
$121,500.00
- OFFICIAL USE"ONL Y
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5. Cash, Bank Deposits & Misc. Personal Property (Schedule E)
(1)
(2)
(3)
(4)
(5)
(6)
$0.00
2 Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
$0.00
4 Mortgages & Notes Receivable (Schedule D)
$0.00
$353,985.57
6. JOintly Owned Property (Schedule F)
D Separate Billing Requested
$0.00
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17. Amount of line 14 taxable at sibling rate
x
12
$38,25799
(8)
$27,647.10
$6,319.98
(11)
(12)
(13)
(14)
(15)
(16)
(17)
(18)
(19)
$513,743.56
7. Inter-Vivos Transfers & Misc. Non-Probate Property
(Schedule G or L)
(7)
8. Total Gross Assets (total Lines 1-7)
10 Debts of Decedent. Mortgage liabilities & liens (Schedule I)
(9)
(10)
9. Funeral Expenses & Administrative Costs (Schedule H)
11 Total Deductions (total lines 9 & 10)
$33 967 08
12. Net Value of Estate (line 8 minus Line 11)
$479,776.48
13 Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been
made (Schedule J)
$000
14 Net Value Subject to Tax (line 12 minus line 13)
$479,776.48
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(l.2)
x
0.00
$0.00
16. Amount of line 14 taxable at lineal rate
$479,776.48
x
4.5%
$21,589.94
$0.00
18. Amount of line 14 taxable at collateral rate
19. Tax Due
20. ~
x
.15
$000
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
$21,589.94
> > BE SURE TO ANSWER.Al..L QUESTIONS ON REVERSESJDE ANDRECHSCKMATH < <
Copyright 2000 DaVId James Thorpe, Esq
fl)
Decedent':; Complete Address:
STREET ADDRESS
23 North 23'. Street
CITY
Camp Hill
I STATE
PA
IZIP
117011
T otallnterestlPenalty (0 + E) (3)
If line 2 is greater than line 1 + line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund (4)
If line 1 + line 3 is greater than line 2, enter the difference. This is the TAX DUE, (5)
A. Enter the Interest on the tax due. (SA)
B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (58)
Make Check Payable to: REGISTER OF WILLS, AGENT
Tax Payments and Credits:
1 Tax Due (Page 1 Line 19)
2. CreditsfPayments
A. Spousal Poverty Credit
B Prior Payments
C. Discount
$21,000.00
$1,105.26
Total Credits (A + 8 + C)
3 IntereslfPenalty jf applicable
o Interest
E Penalty
4.
5.
(1)
$21,58994
(2)
$22,105.26
$0.00
$515.32
1.
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN X IN THE APPROPRIATE BLOCKS
2.
Did decedent make a transfer and:
a. retain the use or income of the property transferred;
b. retain the right to designate who shall use the property transferred or its income;
c. retain a revisionary interest; or
d. receive the promise for life of either payments, benefits or care?
If death occurred on or before December 12,1982, did decedent within two years
preceding death transfer property without receiving adequate consideration? If death occurred
after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?
Did decedent own an 'in trust for" or payable upon death bank account or security at his or her death?
Old decedent own an individual retirement account, annuity. or other non-probate property?
3.
4
Yes
~
No
~
~
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IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under penalhes of perJury, I declare that I have examined this return, including accompanying s ules and statements, and to the best of my knowledge and belief, It IS true. correct. and complete
Declaralion of preparer other than the personal representative is based on all the information of preparer has any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETU~N
Joan E Short, Executrix . /' 4-1..-1 J (
ADDRESS
107 N. 24"' Street. Camp Hill, PA 17011-3602
SIGNATURE OF PREPARER OTHER TH~ REH~ENTATlVE /'1 (~
S. Berne Smith, Esq. /." I;'s_~ /" ~ \.
ADDRESS '
107 N. 24"' Street, Camp Hili, PA 17011,3602
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ex fCubu
DATE
May /0 , 2006
DATE
May /D, 2006
.
F or dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving
spouse is 3% [72 P.S. 99116 (a) (1.1) (I)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 PS
~9116 (a) (1.1) (ii)). The statute does no exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a
tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an
adoptive parent, or a stepparent of the child is 0% [72 P.S. 99116(a) (1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 PS 99116(1.2) [72
PS. 99116(a) (1)].
The tax rate imposed on the net value oftransfers to or forthe use of the decedent's siblin9S is 12% [72 P.S. 99116(a)(1.3)]. A sibling is defined, under
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
Copyright 2000 David James Thorpe, Esq
COMMONWEAL TH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
ESTATE OF Nellie E. Emert FILE NUMBER 21-05-0828
All real property owned solely or as a tenant In common must be reported at fair market value. Fair market value is defined as the price at which property would be
exchanged between a wil~ng buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-
owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
121,500.00
Personal Residence located at 23 North 23rd Street, Camp Hill, PA 17011
This home was sold March 3, 2006. See copy of the Settlement Sheet attached hereto as Attachment B,
showing the contract sales price.
TOTAL (Also enter on line 1, Recapitulation)
(If more space is needed, insert additional sheets of the same size)
$121,50000
Copynght 2000 David James Thorpe, Esq.
COM'MONWEAL TH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
FILE NUMBER
Nellie E, Emert
21-05-0828
Include the proceeds 01 litigation and the date the proceeds were received by the estate, All property jointly-owned with the right of survivorship must be disclosed on
Schedule F.
ITEM
NUMBER
1,
2,
3,
4,
5,
6,
7,
8,
9,
10,
11,
12,
13.
14,
15.
16.
17,
18,
19,
DESCRIPTION
VALUE AT DATE
OF DEATH
$152,10
000
Cash at date of death
Clothing - all clothing was either thrown out or donated to the Mennonite Relief Fund
Wachovia Bank, NA, P. O. Box 40028, Roanoke, VA 24022-7313:
Certificate of Deposit # 247412050616780, opened 3-9-1999. Date of death value =
Accrued interest on above CD =
(For proof of value of Wachovia account, see Attachment C hereto, letter of October 14, 2005).
PNC Bank Certificate of Deposit # 31600214056, opened 5-26-2001, Date of death value =
Accrued interest on above CD =
PNC Bank CD # 31100211255, opened 5-26-2005, Date of death value =
Accrued interest on above CD =
PNC Bank CD #31600210476, opened 5-26-2001, Date of death value =
Accrued interest of above CD =
PNC Bank CD # 31400212457, opened 6-22-2001. Date of death value =
Accrued interest on above CD =
PNC Bank CD # 5140018352, opened 1-1-1978, Date of death value::;
Accrued interest on above CD ::;
(For proof of value on all of the above PNC accounts, see Attachment 0 hereto, letter of December 30. 2005).
M&T Bank checking account # 98026690, opened 12-9-1996. Date of death value =
Accrued interest of above checking account =
M&T Bank Certificate of Deposit # 031003913915484, opened 3-2-1999. Date of death value ::;
Accrued interest on above CD =
M&T Bank CD # 03100391391541, opened 4-29-1999. Date of death value =
Accrued interest on above CD =
M&T Bank CD #031003914547252, opened 10-24-2005. Date of death value::;
Accrued interest on above CD ::;
M&T Bank CD # 031003914593651, opened 1-14-1998, Date of death value =
Accrued interest on above CD =
(For proof of value on all of the above M&T Bank accounts, see Attachment E hereto, letter of December 27,
2005).
Sovereign Bank CD # 2335128852, opened 3-21-1991, Date of death value::;
Accrued interest 0 above CD ::;
(For proof of value on Sovereign Bank account, see Attachment F hereto, letter of December 29, 2005),
Furniture and household effects. All such items, and there was not much, was sold at auction by Brickers
Auction, (See Attachment G hereto, copy of receipt from Brickers Auction). Date of death value =
Refund by Erie Insurance Company of portion of home owner insurance =
Interest checks (2) from Sovereign Bank that had not been cashed at time of death =
Refund of medical insurance premium by IBM Employee Service Center
Refund of 2005 personal Federal Income Tax overpayment =
9,282,00
8,50
33,424.12
31,97
73.393,18
70,21
6,86197
6,56
10,254,29
30,28
12.27554
1 10
10,93338
748
53,10675
5182
35,86644
5263
35,37659
20,66
10,44373
23,80
59,67311
82,77
732,00
604 00
229,59
7000
919,00
TOTAL (Also enter on line 5, Recapitulation)
(If more space is needed, insert additional sheets of the same size)
$353,98557
Copyright 2000 DaVId James Thorpe. Esq
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
ESTATE OF
Nellie E. Emert
FILE NUMBER
21-05-0828
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
ITEM DESCRIPTION OF PROPERTY DATE OF DEATH % OF DECO'S EXCLUSION TAXABLE
NUMBER INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
A IT ACH A COPY OF THE oeED FOR REAl. ESTATE.
1. Sovereign Bank - Barbara J. Emert TrusUNellie E, Emert, Trustee
CD # 2335128803, established 3-14-1995. Date of death value = $12,283.66 0% 100% 0.00
Accrued interest to date of death on above CD in the Trust = 82.77 0% 100% 0.00
(NOTE: This item is included on Attachment F hereto, the letter of 12-29-2005
from Sovereign Bank. However, it is not and was not an asset of the estate
of Nellie E. Emert, because it was placed in Barbara's Trust in 1995).
2. Wachovia Bank, N.A.. Nellie E. Emert in trust for Donald R. Emert
CD # 247412060793321, opened 1-23-1991, but still under decedent's
control until her death. Date of death value = 37,663.33 100% 0% $37,663.33
Accrued interest on above CD = 594.66 100% 0% 59466
(See Attachment C hereto, the letter from Wachovia Bank dated October 14,
2005, with respect to this item).
TOTAL (Also enter on line 7, Recapitulation) $38,257.99
(If more space is needed, insert additional sheets of the same size)
Copyright 2000 David James Thorpe. Esq
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
FILE NUMBER
21-05-0828
ESTATE OF Nellie E. Emert
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
DESCRIPTION
AMOUNT
A.
1.
2.
3.
B.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
FUNERAL EXPENSES:
Parthemore Funeral Home
Payment to clergy
Funeral reception by Presbyterian Women
$1,415.58
200.00
300.00
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative(s) Joan E. Short, Executrix
Social Security Number(s) I EIN Number of Personal Representative(s)
Street Address
City State Zip
Year(s) Commission Paid:
Attorney Fees: S. Berne Smith, Esq.
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
000
13,000.00
0.00
Probate Fees -
522.00
Accountant's Fees - Alan Caperich, CPA
250.00
Tax Return Preparer's Fees
Estate Notices - Cumberland Law Journal and The Sentinel.
Photocopy expense
Sewer charges
Insurance on Home - Erie Insurance Company
Additional death certificates
Bank charges - check printing and cancelled checks
Telephone
Electricity to maintain home prior to sale
Water charges in home prior to sale
UGI Gas charges to maintain home prior to sale
Brickers Auction commission (See Attachment G)
Trash removal charges from house prior to sale
Sellers costs on sale of house, (See Attachment B)
House appraisal - M. Henninger
197.51
1350
6000
283.00
43.00
54.13
31.18
128.04
8168
991.69
182.00
190.65
9,428.14
275,00
TOTAL (Also enter on line 9. Recapitulation)
(If more space is needed. insert additional sheets of the same size)
$27,64710
Copyrighl 2000 David .lames Thorpe, Esq.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
FILE NUMBER
ESTATE OF Nellie E. Emert
Include un~eimbursed medical expenses.
ITEM
NUMBER
1
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
DESCRIPTION
Erie Insurance for fire and liability coverage on Home
Water charges to PA American Water Company
UGI charges for period prior to date of death
PPL Electric charges for period prior to date of death
Telephone charges paid to AT&T and Verizon for period prior to date of death
Penn Waste for trash removal services prior to date of death
Messiah Village final nursing home and medical charges
Pennsylvania Estimated Tax for period prior to date of death
Federal Estimated Tax for period prior to date of death
Orthopedic Institute of Pennsylvania
Alert Pharmacy
Postage
Internists of Central Pennsylvania
Joan E. Short reimbursement for payments by Executrix of miscellaneous bills for prescriptions. groceries. and
other household items incurred by Nellie E. Emert prior to her death.
IBM final bill for health care coverage for Nellie E. Emert
Holy Spirit Hospital charges
Pennsylvania Income Tax - 2005
21-05-0828
AMOUNT
$40200
29.25
86.20
42.62
28.42
40.74
4,792.25
100.00
50.00
21.54
144.97
1105
44.42
425.98
70.00
21.54
900
TOTAL (Also enter on line 10, Recapitulation)
(If more space is needed. insert additional sheets of the same size)
$6.31998
Copynght 2000 DaVid James Thorpe. Esq.
COMMONWEALTH OF PENNSYL VANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF
Nellie E Emert
FILE NUMBER
21-05-0828
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER Do Not List Trustee(s) OF ESTATE
I. TAXABLE DISTRIBUTIONS (include outright spousal distributions)
1. Joan E. Short, 285 Eden Road, Etters, PA 17319 Daughter 30% of Residue
2. Donald R. Emert, 80 Conley Lane, Etters, PA 17319 Son 30% of Residue
3. Daniel E. Emert, P.O. Box 881484 Grandson 10% of Residue
4. Barbara J. Emert Trust, C/o Joan E. Short, Trustee, 285 Eden Road, Daughter is beneficiary 30% of Residue
Etters, PA 17319
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, AS APPROPRIATE, ON REV 1500 COVER SHEET
II. INON- UI;) I
A. SPOUSAL DISTRIBUTIONS UNDER SECTiON 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 1\ - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET
(If more space is needed, insert additional sheets of the same size)
Copyright 2000 David James Thorpe, Esq
LAST WILL AND TESTAMENT OF
NELLIE E. EMERT
I, NELLIE E. EMERT, of Cumberland County, Pennsylvania, being
of sound and disposing mind, memory and understanding and
considering the uncertainty of life, do therefore make, publish and
declare this to be my Last Will and Testament, hereby revoking and
making null and void any and all Wills and Testaments or writings
in the nature thereof by me at any time heretofore made.
FIRST: I direct the payment out of my estate of the expenses
of my last illness if any, my funeral expenses, and my just debts,
the same to be paid out of my estate by my Executor hereinafter
named, as soon as conveniently may be after my demise.
SECOND: I give, devise and bequeath all of the rest, residue
and remainder of my estate and property, real, personal or mixed,
of whatsoever nature and character and wheresoever situate, of
which I may die seized or possessed, or to ~hich I am in any way
entitled at the time of my death, or over which I have any power of
testamentary disposition, as follows:
A. Thirty (30%) percent thereof, in trust, unto the
Trustee of the Trust which I established on this date, naming
mys~}f as Trustee, Joan E. Short as Successor Trustee, and Donald
R. ~~ert as Second Successor Trustee, with regard to my child,
'-
I L'
Bar~~ra J. Emert, as part of that Trust for the uses and purposes
. and 'under the terms and conditions as therein set forth, so long as
L such .Trus~ d)s in existence at the time of my death; and if such
.... ..J
Trust is not in existence at the time of my death, then I give,
1
A or r ,~ c I<J 1'1 ~ fV r
A
devise and bequeath this 30% portion of the remainder of my estate
as follows: ten (10%) percent thereof unto my grandson, Daniel E.
Emert, if he survives me, and if he does not survive me, then in
equal shares unto my daughter and son, Joan E. Short and Donald R.
Emert, if they survive me, and if either of them do not survive me,
then unto the survivor of them who does survive me; forty-five
(45%) percent thereof unto my daughter, Joan E. Short, if she
survives me, and if she does not survive me, then unto my son,
Donald E. Emert, if he survives me, and if he does not survive me,
then unto his issue who survive me, per stirpes; forty-five (45%)
percent thereof unto my son, Donald R. Emert, is he survives me,
and if he does not survive me, then unto his issue who survive me
per stirpes, and if he leaves no issue who survive me, then unto
my daughter, Joan E. Short.
B. Thirty (30%) percent thereof unto my daughter, Joan
E. Short, if she shall survive me, and if she does not survive me,
then unto my son, Donald R. Emert, if he survives me, and if he
does not survive me then unto his issue who survive me, per
stirpes.
c. Thirty (30%) percent thereof unto my son, Donald R.
Emert, if he survives me, and if he does not survive me, then unto
his issue who survive me, per stirpes, and if he does not survive
me and leaves no issue who survive me, then unto my daughter, Joan
E. Short.
D. Ten (10%) percent thereof unto my grandson, Daniel E.
Emert, if he survives me, and if he does not survive me, then in
2
equal shares unto my daughter and son, Joan E. Short and Donald R.
Emert, if they survive me, and if either of them do not survive me,
then unto the survivor of my said daughter and son who does survive
me.
FOURTH :
A. If any beneficiary other than my child Barbara J.
Emert is entitled to a share of my estate, but such beneficiary has
not attained the age of twenty-five (25) years at the time of
distribution to such beneficiary, then I give, devise and bequeath
the share of such beneficiary to my son, Donald R. Emert, as
Trustee, IN SEPARATE TRUST, NEVERTHELESS, to hold, manage, invest
and reinvest the share so received and the accumulation of income
thereon, and to use and apply the income and principal thereof for
such beneficiary's reasonable education, including college or any
other formal education or training beyond high school, without
regard to any other means for such beneficiary's education. When
each beneficiary attains the age as set forth above, such
beneficiary's trust shall terminate and the principal and accrued
income thereof shall be distributed to such beneficiary absolutely.
If a beneficiary for whom a trust is created hereunder dies before
attaining the age set forth above, such beneficiary's Trust shall
terminate, and the principal and accrued income thereof shall be
distributed to the issue of such deceased beneficiary living at the
time of such distribution, per stirpes; and if such deceased
beneficiary shall leave no issue living at the time of such
distribution, then the same shall be distributed, in three equal
3
parts as follows:
(1) One such part, in trust, to the Trustee of the Trust
which I established on this date, naming myself as Trustee, Joan E.
Short as Successor Trustee, and Donald R. Emert as Second Successor
Trustee, with regard to my child, Barbara J. Emert, as part of that
Trust for the uses and purposes and under the terms and conditions
as therein set forth, so long as such Trust is in existence at the
time of such distribution, and if such Trust with regard to my said
child is not in existence at the time of such distribution, then
this part shall be distributed equally unto my daughter and son,
Joan E. Short and Donald R. Emert, if they are living at the time
of such distribution, and if either of them are not then living,
then the share of this part which she or he would have received, if
living, shall be distributed unto her or his issue then living, per
stirpes, but if she or he leaves no issue then living, then this
part shall be distributed to the survivor of Joan E. Short and
Donald R. Emert who is living at the time of such distribution;
(2) Another such part unto my daughter, Joan E. Short, if she
is living at the time of such distribution, and she is not then
living, then unto my son, Donald R. Emert, if he is living at the
time of such distribution, and if he is not then living, then unto
his issue who are then living, per stirpes;
(3) The third such part unto my son, Donald R. Emert, if he is
living at the time of such distribution, and if he is not then
living, then unto his issue who are living at the time of such
distribution, per stirpes, and if he leaves no issue then living,
4
then unto my daughter, Joan E. Short.
B. Should the principal of any trust established
pursuant to this Paragraph Fourth be or become too small in the
Trustee's discretion so as to make establishment or continuance of
the trust inadvisable, my Trustee or my personal representative may
make immediate distribution of the then remaining principal and any
accumulated or undistributed income outright to the person or
persons and in the proportions they are then entitled to income.
If any such person is then a minor, distribution may be made to the
guardian of such minor. Upon such termination, the rights of all
persons who might otherwise have an interest as succeeding income
beneficiary or in remainder shall cease.
SIXTH: No interest of any beneficiary under this Will or any
codicil hereto or any trust created hereunder shall be subject to
anticipation or voluntary or involuntary alienation.
SEVENTH: I nominate, constitute and appoint my daughter, Joan
E. Short to be the Executor of this my Last Will and Testament. In
the event my said daughter should predecease me, or is unwilling or
unable to serve as Executor for any reason, I nominate, constitute
and appoint my son, Donald R. Emert, as Executor.
EIGHTH: All federal, state and other estate, inheritance and
death taxes payable because of my death, with respect to the
property passing under this Will, including any interest or penalty
which may be imposed thereon, shall be considered a part of the
expense of the administration of my Estate and shall be paid out of
the residue of my Estate before distribution of the residue is
5
made, so that all residuary beneficiaries, whether charitable or
otherwise, shall proportionately share in the payment of the same.
NINTH: I direct and request that any fiduciary under this my
Last Will and Testament, shall not be required to enter bond or
security of any nature whatsoever in any jurisdiction in which such
fiduciary may act.
IN WITNESS WHEREOF, I have hereunto set my name and affixed my
seal to this my Last Will and Testament which consists of six (6)
pages this 16th day of December, 1992.
l/
// /
c'"' , "~/i ( , \,(
( SEAL)
5.5.#165-38-1397
SIGNED, sealed, published and declared by the above-named
Testator as and for the said Testator's Last will and Testament in
the presence of us who have hereunto subscribed our names at the
Testator's request as witnesses thereto, in the presence of the
said Testator and of each other.
,t' "
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6
A. Settlement Statement
us Oepanmenl 01 HOU51OQ
and Urban Development ;:-...
,r
OMB No 2502.0265
B Type of Loan
1 0 FHA 2 0 FmHA 3. 0 Con v Unins File Number
CAA-RigginsEnterp
4 0 VA 5 0 Cony. Ins. rises-859674
C. NOTE:Thls form IS furnished to give you a statement of actual settlement costs Amounts paid to and by the settlement agent are shown
Items marked "p.o.c" were paid outside of closing: they are shown here for mformaUonal purposes and are not Included In the tOlals
Loan Number
Private Mortgage
Mortgage Insurance Case Number
o NAME AND ADDRESSOFBOR~OW!:~:8IggJ"$.~nterprISI}$.,~1..C
'PA'
G PROPERTY
LOCA TION
H SETTLEMENT AGENT:
PLACE OF SETTLEMENT:
TIN'
Estate of Nellie E. Emert
, PA
10 [ I
~
E NAME AND ADDRESS OF SELLER
F. NAME AND ADDRESS OF LENDER
I SETTLEMENT DATE: 03/03/2006 RESCISSION DATE
J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION
100. GROSS AMOUNT DUE FROM BORROWER .. .. ... . 400:G.ROSSAMOUNT DUETO.SELLER:
. .................,_........ ........ .....,. ."",...,.. ..
.. .. .....sih ..,..,.,.,......--.-............-... ......
101 ContrGlCl Sales Price .... 5.00.60 4()~.Ccm.till!<l$al~~Pri.c:e 51n,500. 00
102. Personal Property 402 Personal property
103 Selllemems chargeslooorrower . 403. .....
..
(from line 1400) . $::2;91), .7$
104 404.
105. ... 405.
ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE
106 City/I own taxes I.. ... 406.qlyfteiwr'l TaxeS' to
.' lei. ..
107. County Taxes 03/03/2006 10 12/31/2006 $479. 94 407. County Taxes 03/03/2006 to 12/31/2006 5479. 94
AsseSSments 03/03f~OO6 . ........."_..,,..... . ..$5ji.oi .. 408A~sessmen1.S" .......... ' ," ..,-,
106. tei O/i/3C:120o/i: '. OUOU2:Q06.'lo. 0.6130#006 $537. 01
.......,..,-. .,. .....
109 Utilities (Mar. 3 - June 30) $56.35 409. Utili ties (Mar. 3 - June 30) $56. 35
110. 410.
111 411
112 . .. 4\2
. . .. ... .'.
120. GROSS AMOUNT DUE FROM BORROWER: $125,485. 05 420. GROSS AMOUNT DUE TO SELLER. $122, 573. 30
200 . AMOUNTS PAID BY ORIN eEHAl.FOF eOBRo\iVER: :>OO.REOU.CTIONsINAMOVNtOLJE TO' SELLER'
201 Depos,t or earnesl money $1, 000. 00 501 Excess depOSit (see Instruclions)
202. Principal amounl of new loan(s) ..... ............ 50.2SeWemenl char9~5 to. ~lltH (line 1400)
.. .. ..... .... $15:0,000.00. $9,428. 14
203 EXlsllng loan(s) laKen subjecllO 503. EXisting loan(s) taken subject 10
204. .. :. 504;.P.ayoff of fir'st m0f1.9ageI6ilri..
...... .. ..
205 505 Payoff of second mortgage loan
206 .. .. SQ6. '.'
207 507.
20B, .. . . ........ 59B.... . ...
209 509.
ADJUSTMENTS FOR ITEMS UNPAID BY SELLER ADJUSTMENTS FOR ITEMS UNPAID BY SELLER
210 City/town laxes to 510. C,ty/lown taxes to
211. County taxes 10 511. c:;clUnty l".x~ to
212 AssessmenlS to 512 Assessments 10
213 .. .St3. .
2'4 514.
215 51.5.
216 516 IL2
217. Q 'r-T Ftc. 11"rJ' e P" f""IF~
218 / , , 518
219. ..... p< .... .. .519. ~
.t 'v!-
Capita ..... .....aAbstiact.fn~.. .' .()3.:-t)3iJ~
213.3MarketSlr~t.Su;te21~. . Camp Hill. PA17011
25'1841633
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219. . ...... .":H .. ...... .... 'C. . .51.9... .. '.' '..:. .'
~O TOTAL PAID BY/FOR $252,000.00 520 TOTAL REDUCTIONS $9,428.14
BORRQWER IN AMOUNT DUE TO SELLER:
:)0. CASH AT SETTLEMENTFROMfTO SQRROWER" : '. ~OO;'CASH'AI.SETn.:EM~NTTO/FROMSEI.LER
:)1 Gross amount due 'from borrower (line 120) $225,485.05 601. Gross amount due to seller (line 420) $122,573.30
. ...... ......
02. less amount paldby/fo(borro~r(linenO) . .... ...... . ."".
$151,000.00 002. Less reduCtions irlaiTlLdue seller (line 520) $9,428.14
03 CASH ( DFROM) ( ~TO) BORROWER' $25,514.95 603. CASH ( o FROM) ( ~TO ) SELLER $113,145.16
HUD-1 (3-86) - RESPA, HB 4305.2
OMS NO 2502"0265
UD.l IRev 3/861
SETTLEMEN'TCHARGES
-.
00 TOTAL SALES/BROKER'S COMMISSION PAID FROM PAID FROM
BASED ON PRICE $121,500.00 @ 6 %:=. $7,290.00 BORROWER'S SELLER'S
FUNDS FUNDS
DIVISION OF COMMISSION (LINE 700) AS FOLLOWS AT AT
R$/~~C!a.2t:v AS$<;)ci.a ~!!$, "Inc. " SETTLEMENT SETTLEMENT
'01 $3,67D.00 10
'02 $3,620.00 10 RSR, Realtors
',"" " " " "
'03 $0.00 10 ' "
704 $0.00 10
705. CommiSSion palo.at seU\ement . $7,290.0(
106
:300 ITEMS PAYABLE IN CONNECTION WITH LOAN'
801,"LOan"origlnahon lee %
802 Loan olscouOI %
803 Apprals31lee 10
80. Creel! tepon 10
80S Lender's fnspeClJOn fee
806. MOt1gage Insurance apphcat1oJ' fee to
807 AssumptiOn fee
B08
809 "
810
81 ,
812
8\3
814
815 " " ">:,
818
817 .".".. ' ."':": "" ." "" "
.
818
819 Transaction Fee to RE/MAXReaJ. ty"As$oci ateS, Inc. '""":," " $125. at
820 Transaction Fee to RE/MAX Realty Associates, Inc. $250.00
900 ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE
901 Inlerest ftom \0 @ Iday
902 Mof1gage Insurance premium (or mO$.lo.
903_ Hcuard.insuranc.epremium tor y,s.lo ," ""
904 FtoOd Insurance premium for Vrs.1O
90S . .
1000 RESERVES DEPOSITED WITH LENDER:
1001. Hazard Insurance
1002 Mo"gage losuranee
1003" Cuy property laxes
1004 Coun1v ptope"y la.es
1005 Annual assessments
1006. Flood In$urance
p.e~. month
per month
per monlh
per monlh
pel" monlt'"
per month
per monlh.
1007
1008
1009 Aggrega,te Account.ing
1100 TITLE CHARGES
, 101. Se11lemenl or closing ref! to
1102 " AbS\ract or title seaten Ie
1103. Title examination to
"04 Tille Insurance OU'aCet to " " ...
1105 Documenl preparation to Law Office of Darrell C. Dethlefs $375.00
1106: NOl1lry lees 10 Michael J. pykosh, Esquire $20.00 $10.0(
1\07 AHomey's lees to
~ . -
(Includes aOove Items Numbers
l108Tille Insurance to S.ecurie-y Ti-eJttlca.p-i tal -Area A.bstrac.t, tn.c.
(Includes abo\l'ejlem_s.Numb~rs' Basic
\109 lende(s coverage
It 10.0wner's'coveiage
1111 Deed Prep. Fee to REIMAX Realty Associaties, Inc.
1112.
11 '3
$150,000.00
$125.0C
1200. GOVERNMENT RECORDING AND TRANSFER CHARGES
120; . Reeorlhng f~S Peed $3. ~ ; 50 ;MO(1~9" $44..50 : ReleaSes $83.00
1202 Clly/county laxlslamps Deed $2,430.00 . Mortgage $1,215.00 $1,215.0(
1203 S(9'e.'a~stamps: Deed .M~alie
1204
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tended Page 2.1
I
20'
205
300 ADDITIONAL SETTLEMENT CHARGES
301 Survey 10 , . ' , .
302 Pest Inspeclion 10
303 2DD6 Coun~j'/B9~O 1'<'i;xe$ t9 "~ll~e, r,. Ni.J}.fl~ , $578.1.,
30. Utilite$ Bill to Camp Hill Borough (Jan. 1 . June 30) $85.0(
305
306
J07
1400 TOTAL SETTLEMENT CHARGES $2.911.75 ~.~: 428. l~
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lave carefully revIewed the HUD-1 Settlement Statement and 10 the besl of my knowledge and belief, It is a true and accurate stalem
:,~:w:'o,o, ,," m. ,0 "'0'" 0' """,, "My,"" , '''::~;;fi .;:;,~ s'~::'0'7"m~'
Joan
nt of all receipts and dIsbursements made
f3 -7 13- I -
Date ~ ~
Seller or
\orrower Date Agent:
Seller or
3orrower Date: Agent
Seller or
Borrower" Date: Agent
Date
Dale
Dale
Date
Selllemenl Agent
squire
iction can ,nclude a fine and Imprlson-
DateYJ ;0&
The HUO-l Selllement Statement whIch I have prepared IS a true and accurate account of thiS transaction.
WIth thIS stalemenl
Ichael J. P
WARNING: II IS a cnme 10 knowlI'\gly make false statements to the United Stales on thiS or any other sImilar form. Penalties
men! For details see. Title 18 US. Code Section 1001 and Sechon 1010.
'.
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WACHOVIA
Reference 10: 1383] 62
Wachovla Bank N.A
Balance Confirmation Services
POBox 40028
Roanoke, V A 24022-7313
October 14,2005
S BERNE SMITH
ATTORNEY AT LAW
107 N 24TH ST
CAMP HILL, PA 17011
SUBJECT: Verification I Confirmation of Account and Balance Infonnation provided for:
Customer: NELLIE E EMERT (SSN# 165-38-1397)
Date of Death: August 21, 2005
Deposit Account Information
Account
Type
Account
Number
Date of Death
Balance
Average
Balance.
Date
Opened
Maturity Interest Accrued YTD Date
Date Rate Interest Interest PaId Closed
CERTlFICA TE OF DEPOSIT 247412050616780
LEGAL TITLE NELLIE E EMERT
JOAN E SHORT POA
$9,282.00
3/9/1 999 9/9/2006
$8.50
$128.60
CERTIFICATE OF DEPOSIT 247412060793321
LEGAL TITLE NELLIE E EMERT
ITF DONALD R EMERT
JOAN E SHORT POA
$37,663.33
1/23/1991 1/23/2007
$594.66
$646.06
RECORDS SHOW NO TITLE CHANGE AS FAR BACK
AS 2000
. Due to system limitations, we can only provide a twelve month average balance on depository accounls
No Safe DepOSit Box tound tor customer
· Dare of death balance does not include accrued interest.
· If date of death occurrs on a weekend or a holiday, date of death balance does not mclude any transactions that were
co --~ad.e 4,ur:ng .tha. .~tlF5iOd. I
/'- '-,-<.k. U~o'-- \ ~~.,-~\. h
Audrey Troutt \..... . \
Servicenter Associate
Phone (540)563-7323
ssp; at
Ii /1 A .:: It I? c' N.r
c
',iOUZ) OOU(~i 4
U~~-~J-~~~J ~~.~J
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o PNCBAN<
December 30, 2005
S Berne Smith
Attorney at Law
107 N 24th St.
Camp Hill, P A 17011
RE: Estate of Nellie E Emert (Deceased)
SSN: 165-38-1397
DOD: 08-21-2005
Dear Mr. Smith:
41d .t'bl:l 3458
Iscp
In response to your request for Date of Death balances for the customer noted above, our
records show the following:
Certificate of Deposit
Account #31600210465
NELLIE E EMERT
DOD balance: $33,424.12 + $31.97 accrued interest
Account #31100211255
NELLIE E EMERT
DOD balance: $73,393.18 + $70.21 accrued interest
Account #31600210476
NELLIE E EMERT
DOD balance: $6,861.97 + $6.56 accrued interest
Account #31400212457
NELLIE E EMERT
DOD balance: $10,254.29 + $30.28 accrued interest
Checking Account
Established 05-26~200 1
Established 05-26-2001
Established 05-26-2001
Established 06-22-2001
Account #5140018352 Established 01-01-1978
MRS NELLIE E EMERT
000 balance: $12,275.54 + $1.10 accllled interest
Page 1 of2
A '7 r A C-N n L:: N')
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P.01
.L.Ic..\...-c.;:J-c:t:Jt:JJ c.t:J- J.::J
t"Nl.I:lHNK.
412 768 3458
P.02
Please note that this office only provides date of death balances for deposit accounts
(IRAs, CDs, Checking and Savings accounts). We do not prouss allY financial
transacdons or provide statements. If you need assistance with any of these items,
please call1-888-PNC-BANK (1-888-162-2265) or stop by your local PNC Bank branch
office.
Sincerely,
~'2~
Erica L Schlegel
1-800-762-1775
P7-PFSC-04-F
500 First Ave.
Pittsburgh P A 15219
Member FDIC
Page 2 of2
r! M&fBank
499 Mitchell Road, MiIlsboro, DE 19966 Mail Code DE-MB-12
Phone (888) 502-4349
Fax (302) 934-2955
December 27, 2005
S Berne Smith
Attorney At Law
107 North 24th Street
Camp Hill, Pennsylvania 17011-3602
Re: Estate of Nellie E Emert
Social Security: 165-38-1397
Date of Death: AU$!ust 21, 2005
Dear Sir or Madam:
Per your inquiry dated December 14,2005, please be advised that at the time of death, the above-named decedent had on
deposit with this bank the following:
l.
Type of Account
Checking Account
Account Number
98026690
Ownership (Names of)
Nellie E Emert *
Donald R Emert, Joan E Short, POA 's *
Opening Date
12/09/96 Closed 10/24/05
Balance on Date of Death
$/0,925.90
Accrued Interest
$
7.48
Total
$/0,933.38
Interest Paid YTD
$ 63.30 (Accrued interest is not included)
2.
Type of Account
Certificate of Deposit
Account Number
031003913915484
Ownership (Names of)
Nellie E Emert *
Donald R Emert, Joan E Short, POA 's *
Opening Date
03/02/99 Closed /0/24/05
Balance on Date of Death
$53, /06. 75
Accrued Interest
$ 51.82
Total
$53.158.57
Interest Paid YTD
$ 708.59
f1rT#<:Hh'^,,," E
3.
Type of Account
Certificate of Deposit
Account Number
031003913915541
Ownership (Names of)
Nellie E Emert *
Donald R Emert, Joan E Short, POA 's *
Opening Date
04/29/99 Closed 10/24/05
Balance on Date of Death
$35,866.44
Accrued Interest
$ 52.63
Total
$35,919.07
Interest Paid YTD
$ 471.98
4.
Type of Account
Certificate of Deposit
Account Number
031003914547252
Ownership (Names of)
Nellie E Emert *
Donald R Emert, Joan E Short, POA 's *
Opening Date
10/24/05 Closed 10/24/05
Balance on Date of Death
$35,376.59
Accrued Interest
$ 20.66
Total
$35,397.25
Interest Paid YTD
$ 384.15
5.
Type of Account
Certificate of Deposit
Account Number
031003914593651
Ownership (Names of)
Nellie E Emert *
Donald R Emert, Joan E Short, POA 's *
Opening Date
01/14/98 Closed 10/24/05
Balance on Date of Death
$10,443. 73
Accrued Interest
$ 23.80
Total
$/0,467.53
Interest Paid YTD
$ 118.85
Please be advised, there was no safe deposit box found for the above decedent. For further account information,
regarding ownership, closures and/or reimbursement of funds, etc., please call the West Shore Plaza Office # 717-
255-2271.
Sincerely,
'~1{:C:Y
Nancy Clagett
Records Management
Court Ordered Processing / MA 1 MB3 02-10
P.O. Box 841005
Boston, MA 02284
December 29,2005
S. Berne Smith
Attorney at Law
107 N. 24th Street
Camp Hill, P A 17011-3602
RE: Estate of Nellie E. Emert
Date of Death: 8/21/05
Dear Mr. Smith:
Per your request, enclosed please find the account information as of the date of death for
the above-named decedent. For your information, accrued interest is not included in the
date of death balance.
Please instruct Joan Short to bring a copy of the Trust documents to her local Sovereign
Bank branch office and complete new signature cards so that our system can be updated.
Please feel free to contact me if I can be of any further assistance.
Very truly yours, ,
.\ \ I) - . [); .O,UL1-L cie/YYl.1i--'~=A"-'u
C10-<'-<A-.-LL ' (}' ---
Laurie DiGiandomenico
OAG Team Leader
(617) 533-1789
Enclosures
/-1./ 'I Ac ;-1 II ti" rJ T r
. .
Sovereign Bank
ESTATE OF
SOCIAL SECURITY #:
DATE OF DEATH:
Nellie E. Emert
165-38-1397
August 21, 2005
Account #: 2335128803 Type: CD
In the name of: Barbara J. Emert Trust / Nellie E. Emert Trustee
Date of Death Balance: $12,283.66
Int.(YTD) from 1/1/2005 to 7/31/2005
Accrued interest to date of death: $19.63
Other Info:
Open date: 3/14/1995
$138.07
Account #: 2335128852 Type:
In the name of: Nellie E. Emert
Date of Death Balance:
Int.(YTD) from 1/1/2005 to
Accrued interest to date of death:
Other Info:
CD
Open date: 3/21/1991
$59,673.11
7/31/2005
$82.77
$667.66
Page 1 of 1
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BRICKERS AUCTION
Complete Auction Service
Auction - Wednesday Evenings
766-5785
~ Bricker, Auctioneer
TOTAL SALE
~
COMM.
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